| NPI | 1669647921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME106946) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 117167) |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME106946) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-10-31 |