| NPI | 1295908150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TN MD51291) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 51291) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2019-07-29 |