NPI | 1730279506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MO 2002024530) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2002024530) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-12-27 |