| NPI | 1780664227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME101827) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01059389) |
| 207U00000X Nuclear Medicine (Licence: FL ME101827) | |
| 208600000X Surgery (Licence: FL ME101827) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-01-26 |