| NPI | 1295115814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A179268) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA R-10210) |
| 208600000X Surgery (Licence: CA A179268) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-02-15 |