| NPI | 1427256122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101275160) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35135115) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-08-11 |