| NPI | 1922108232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AR E-5623) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX M0652) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-12-17 |