| NPI | 1073705182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CT 44725) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 245603) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 245603) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-07-06 |