NPI | 1912943010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME155518) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 188036) |
2086X0206X Surgery, Surgical Oncology (Licence: NY 188036) | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2022-05-02 |