| NPI | 1356349518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI MD11139) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: RI MD11139) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-01-29 |