| NPI | 1346272143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 136065) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 136065-1) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2009-03-09 |