| NPI | 1841212008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: PA MD045188L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD045188L) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-04-13 |