NPI | 1699041517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME150532) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME150532) |
Enumeration Date | 2012-03-25 |
Last Update Date | 2023-09-27 |