| NPI | 1346268497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 52502) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 52502) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2022-12-13 |