| NPI | 1306936976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR C-3381) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AR C-3381) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-09-12 |