| NPI | 1780621656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101232968) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01056708A) |
| 2086X0206X Surgery, Surgical Oncology (Licence: DC MD047745) | |
| 208600000X Surgery (Licence: VA 0101232968) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MD D0066188) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-04-24 |