| NPI | 1437143237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA04463400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD020175E) |
| 208600000X Surgery (Licence: PA MD020175E) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-03-08 |