| NPI | 1346231735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA G130488) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G130488) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 164241-1) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2022-04-19 |