| NPI | 1164734687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA10552200) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 284685) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA10552200) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 284685) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2024-04-08 |