| NPI | 1417156944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME100184) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL TRN9920) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2024-04-08 |