NPI | 1851491484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX 44811) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NC 33908) |
Enumeration Date | 2006-09-24 |
Last Update Date | 2014-12-10 |