NPI | 1467438952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G86699) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: HI MD-5132) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2007-07-13 |