| NPI | 1134582315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA11984800) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0091997) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2023-10-16 |