| NPI | 1144887241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: RI CLP06776) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4351044713) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2025-07-08 |