| NPI | 1205937331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD057717L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ MA68321) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ MA68321) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2014-08-14 |