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 |