| NPI | 1841298957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD427905) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MD D0061389) |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD427905) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-11-09 |