| NPI | 1275928608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA11786100) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0099930) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-07-18 |