| NPI | 1427056175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD031239E) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301058150) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2024-06-10 |