| NPI | 1508284738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: ME MD26980) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: NC 2021-01510) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-07-25 |