| NPI | 1255411948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY rosewell2016) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 208600000X) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-08-05 |