| NPI | 1407879323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA MD012268) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: LA MD012268) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-06-16 |