| NPI | 1265420681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 270454) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NC 9901013) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 270454) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2013-07-25 |