NPI | 1447448212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08088000) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA08088000) |
Enumeration Date | 2007-10-05 |
Last Update Date | 2011-01-10 |