| NPI | 1699707372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G23100) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A41853) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-04 |