| NPI | 1346280757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 23920) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 23920) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-06-08 |