| NPI | 1619069820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G76428) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G76428) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-09-21 |