NPI | 1891723045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 27455) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 27455) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2010-08-31 |