| NPI | 1427020734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CO DR.0058042) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD427741) |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD427741) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-12-10 |