| NPI | 1992972137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101246028) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2016-00008) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-09-20 |