| NPI | 1639263858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: NY 185663) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: NC 9300430) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-08-05 |