| NPI | 1639323850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 256933) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 256933) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2019-10-08 |