| NPI | 1477796985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 49055) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 49055) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: TN 49055) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2024-03-01 |