| NPI | 1780979468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IA MD-47316) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-47316) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2024-01-23 |