| NPI | 1396993598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 52990) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TN 52990) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2018-01-18 |