| NPI | 1881874238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A125857) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD446180) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-09-23 |