| NPI | 1144462615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD483480) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA09709700) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2024-04-03 |