| NPI | 1306264890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 340298) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A171748) |
| 208600000X Surgery (Licence: WA ML60475569) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-02-09 |