| NPI | 1346264116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA08118800) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA08118800) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-08-09 |