NPI | 1700838240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 25739) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 25739) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2013-02-15 |