| NPI | 1639494834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX S3217) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S3217) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2022-11-08 |