NPI | 1356384499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301111445) |
Additional Taxonomies | 208600000X Surgery (Licence: NV 13517) |
208600000X Surgery (Licence: OR MD066639) | |
Enumeration Date | 2006-06-14 |
Last Update Date | 2021-03-26 |