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 |