| NPI | 1396847794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD12883) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME0070771) |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME0070771) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-10-14 |