NPI | 1326259623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX M6740) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35084045) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2009-06-30 |