| NPI | 1356358840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 35276) |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology (Licence: FL ME47461) |
| 2086X0206X Surgery, Surgical Oncology (Licence: SC TL35276) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2017-12-18 |