| NPI | 1073563953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 281708) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 21829) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NE 21829) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-04-15 |