| NPI | 1700971090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 200301147) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC T01936) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-07-20 |