| NPI | 1588826382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A108704) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A108704) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2019-12-23 |