| NPI | 1649215146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 200600500) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 200600500) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-08-14 |