| NPI | 1740219369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX J7243) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX J7243) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX J7243) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-11-21 |