| NPI | 1871679589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 195361) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX M6871) |
| 2086X0206X Surgery, Surgical Oncology (Licence: IN 01072042A) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: IN 01072042B) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-02-10 |