| NPI | 1831230267 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101254353) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 54648) |
| 208600000X Surgery (Licence: MN 105451) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-08-09 |