| NPI | 1477789972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A141964) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX R9236) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-08-07 |