| NPI | 1619931870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: OR MD183891) |
| Additional Taxonomies | 208600000X Surgery (Licence: NH 15327) |
| 208600000X Surgery (Licence: VA 0101257693) | |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: VA 0101257693) | |
| 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: NH 15327) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-06-15 |