| NPI | 1326154907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME147077) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME147077) |
| 208600000X Surgery (Licence: PA MD428146) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD428146) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-11-24 |