| NPI | 1548278161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME127365) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: GA 056129) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-02-10 |