| NPI | 1326015546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: HI MD-18903) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 056091) |
| 2086X0206X Surgery, Surgical Oncology (Licence: AZ 53390) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: GA 056091) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-10-02 |