| NPI | 1760400030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME58579) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME0058579) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-04-18 |