| NPI | 1932127677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME179677) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WV 22925) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2026-03-31 |