| NPI | 1316232606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.134802) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: SC 39255) |
| 208600000X Surgery (Licence: SC 39255) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-11-12 |