| NPI | 1710035738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A95409) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A95409) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-11-29 |