| NPI | 1396993572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: DC MD038337) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2010-00508) |
| Enumeration Date | 2008-08-31 |
| Last Update Date | 2016-11-01 |