| NPI | 1679667646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NC 101079) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 20101079) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-08-01 |