NPI | 1558789149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WA MD61564146) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD61564146) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2024-08-06 |