NPI | 1427581008 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AL 49773) |
Additional Taxonomies | 208600000X Surgery (Licence: AL 49773) |
Enumeration Date | 2017-04-10 |
Last Update Date | 2024-09-30 |