NPI | 1316963713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA a65396) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A65396) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-12-29 |