NPI | 1417000142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IL 036109813) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 50859) |
2086X0206X Surgery, Surgical Oncology (Licence: PA MD430118) | |
208600000X Surgery (Licence: WI 50859) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2024-03-05 |