| NPI | 1982066890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301510084) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MI 4301510084) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-10-18 |