| NPI | 1821315516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NC 2019-01399) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2019-01399) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-12-18 |