| 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 |