| NPI | 1528071289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME113251) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AL 24732) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-19 |