| 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 |