| NPI | 1992755391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA GA42387) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA GA42387) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-06-14 |