NPI | 1750458758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA G81115) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G81115) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2022-06-08 |