NPI | 1902815087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NY 238366) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 238366) |
Enumeration Date | 2006-08-06 |
Last Update Date | 2010-03-01 |