| NPI | 1275793044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: RI MD12954) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NY 222788) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2009-06-17 |