| NPI | 1720085707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA09125900) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 224199) |
| 204F00000X Transplant Surgery (Licence: NY 256820) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: NY 256820) | |
| 208600000X Surgery (Licence: NJ 25MA09125900) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2015-04-06 |