| NPI | 1699193797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD482596) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD482596) |
| 208600000X Surgery (Licence: CA A142056) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A142056) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-09-06 |