| NPI | 1194905299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 291087) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 291087) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 291087) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2018-05-14 |