| NPI | 1942237516 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 042912) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CT 042912) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-10-28 |