| NPI | 1285892406 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME133477) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME133477) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2018-03-17 |