| NPI | 1508818121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME172773) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 1059865A) |
| 208600000X Surgery (Licence: IN 01059865A) | |
| 208D00000X General Practice (Licence: NY 277027) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-03-19 |