NPI | 1508096413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX U6801) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 71283) |
208600000X Surgery (Licence: NM MD2019-0775) | |
2086X0206X Surgery Surgical Oncology (Licence: GA 71283) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2024-03-12 |