| NPI | 1144546995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 298780) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 298780) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD460850) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2023-06-30 |