| NPI | 1083665053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA06938100) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NJ MAO7549566) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-11-13 |