NPI | 1659464485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A25197) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A25197) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-05-17 |