| NPI | 1033348891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 287527) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q0154) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2023-06-29 |