| NPI | 1790944783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A87312) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA a87312) |
| 208600000X Surgery (Licence: FL ME113892) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-07-21 |