NPI | 1295716926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD166758) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 53543) |
2086X0206X Surgery, Surgical Oncology (Licence: OR MD166758) | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2024-02-28 |