| NPI | 1225391386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 105361) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 298947) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2025-09-25 |