| NPI | 1558466375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 224706) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A91085) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 224706) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-08-01 |