| NPI | 1407268790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A174557) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 174557) |
| 208600000X Surgery (Licence: FL ME146038) | |
| 208600000X Surgery (Licence: NV 17247) | |
| 208600000X Surgery (Licence: MO 2019020862) | |
| 208600000X Surgery (Licence: CO DR.0071299) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2023-12-29 |