| NPI | 1487965356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX W5800) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD461691) |
| 208600000X Surgery (Licence: IL 036145851) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2026-06-16 |