| NPI | 1851739577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA L-255533) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S6830) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX S6830) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-12-21 |