| NPI | 1295877876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MO 2009018162) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A94797) |
| 208600000X Surgery (Licence: MO 2009018162) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A94797) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2013-04-11 |