| NPI | 1053469544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD051898L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 191292) |
| 208600000X Surgery (Licence: NY 191292) | |
| 208M00000X Hospitalist (Licence: NY 191292) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-03-04 |