| NPI | 1740454693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME126560) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AL 41344) |
| 2086X0206X Surgery, Surgical Oncology (Licence: MN 59117) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2024-02-01 |