NPI | 1467447359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 17930) |
Additional Taxonomies | 208600000X Surgery (Licence: TN MD35383) |
208600000X Surgery (Licence: SC 17930) | |
Enumeration Date | 2005-09-16 |
Last Update Date | 2013-08-16 |