| NPI | 1982840971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL OS19381) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A17337) |
| 208600000X Surgery (Licence: PA OS014739) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: IL 036.129029) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA OS014739) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2023-06-27 |