| NPI | 1477521714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OK 21890) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 21890) |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2008-07-03 |