| NPI | 1659491314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KS 04-34718) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME 111387) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-07-19 |