| NPI | 1922069772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD439990) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA BS3301291) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX L4705) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-02-09 |