NPI | 1982658225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME125024) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35084271) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-04-21 |