| NPI | 1326259623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NE 33153) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX M6740) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-02-11 |