NPI | 1710326137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 97532) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 11017386A) |
208600000X Surgery (Licence: CA A172461) | |
Enumeration Date | 2013-06-19 |
Last Update Date | 2023-10-09 |