| NPI | 1982724597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD434639) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301076003) |
| 208600000X Surgery (Licence: PA MD434639) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301076003) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-10-08 |