| NPI | 1780907576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101278257) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S5808) |
| 208600000X Surgery (Licence: VA 0101278257) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX S5808) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2023-08-23 |