| NPI | 1295820116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 52498) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX H5546) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-11-22 |