| NPI | 1467518266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN MD0000056704) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD0000056704) |
| 208600000X Surgery (Licence: MO 2003013816) | |
| 208600000X Surgery (Licence: AL 32623) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: AL 32623) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-03-29 |