| NPI | 1407866205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD427467) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME105856) |
| 2086X0206X Surgery, Surgical Oncology (Licence: GA 070928) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME105856) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 267492) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-03-30 |