| NPI | 1376623439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: HI MD-18382) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA 000000G79149) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-05-26 |