| NPI | 1295745966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ MB081183) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS016185) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-08-19 |