| NPI | 1922185909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 70016) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 70016) |
| 208600000X Surgery (Licence: GA 70016) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-07-09 |