| NPI | 1336110030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35079814) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35-079814) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-07-23 |