| NPI | 1174785984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 270651) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 270651) |
| 2086X0206X Surgery, Surgical Oncology (Licence: ND 13710) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-05-16 |