| NPI | 1861486797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN MD20212) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD2012) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2019-02-19 |