NPI | 1336163328 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G61190) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G61190) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2021-03-31 |