| NPI | 1871531624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA A86379) |
| 208600000X Surgery | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-10-05 |