| NPI | 1861472565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AR C8485) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR C-8485) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-04-05 |