| NPI | 1629262704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA10652400) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 246729) |
| 208600000X Surgery (Licence: NJ 25MA10652400) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2024-05-02 |