| NPI | 1144267683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 325207-01) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA67369) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-12-12 |