| NPI | 1962599647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 052521) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 052521) |
| 208600000X Surgery (Licence: SC 27571) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: SC 27571) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-12-07 |