NPI | 1750345229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: PA MD030666E) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD030666E) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2007-07-08 |