NPI | 1841556875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D94102) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A162215) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2023-02-07 |