| NPI | 1447243431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME85202) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 103608) |
| 208600000X Surgery (Licence: MN 50862) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME85202) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2021-08-27 |