| NPI | 1487989059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 38367) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A123941) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2020-10-29 |