| NPI | 1851320063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A41049) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA 41049) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2022-07-10 |