| NPI | 1851513139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A104069) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 45758) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-04-13 |