| NPI | 1013193507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 273537) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: GA 065584) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2021-06-15 |