| NPI | 1851374441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 71061) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G071365) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-09-25 |