| NPI | 1346215167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 153555-1) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 153555) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2021-12-14 |