| NPI | 1588694673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 272937) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA C51961) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA C51961) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-11-13 |