| NPI | 1477964278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 83562) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AR E-13296) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2021-10-13 |