NPI | 1497713598 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MT 12029) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G175650) |
208600000X Surgery (Licence: MT 12029) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2025-02-03 |