NPI | 1609916733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A49766) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A49766) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2024-03-11 |