| NPI | 1598901316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD23049) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: ME MD23049) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2019-07-25 |