| NPI | 1336555721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 305277) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 305277-01) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2020-11-25 |