| NPI | 1427205681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A135798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 61600) |
| 208600000X Surgery (Licence: GA 61600) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2018-11-29 |