NPI | 1518993369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 64159) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 264261) |
208600000X Surgery (Licence: MN 50701) | |
208600000X Surgery (Licence: IA R-6997) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-08-29 |