NPI | 1477782100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD453021) |
Additional Taxonomies | 208600000X Surgery (Licence: NE 5998) |
2086X0206X Surgery, Surgical Oncology (Licence: NY 288292) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2022-07-21 |