NPI | 1174785984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 270651) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: ND 13710) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2024-07-11 |