| NPI | 1306812573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX R6718) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX R6718) |
| 208600000X Surgery (Licence: TX R6718) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2026-06-05 |