| NPI | 1508024167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME113213) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME113213) |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: FL ME 113213) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: PR 23058) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-06-19 |