| NPI | 1699871525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G57872) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA g57872) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-12-16 |