NPI | 1457650707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A124621) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A124621) |
Enumeration Date | 2011-03-24 |
Last Update Date | 2020-11-19 |