| NPI | 1174939441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35C.002622) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.148449) |
| 208600000X Surgery (Licence: TN 64237) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2025-05-23 |