| NPI | 1386609584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA C175446) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 282373) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 282373) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2022-11-22 |