| NPI | 1538274816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A105291) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD224173) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-11-26 |