| NPI | 1952491524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KY 22370) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.091070) |
| 208600000X Surgery (Licence: AR E-3646) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: AR E-3646) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.091070) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-01-31 |