| NPI | 1437549482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD466200) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10121400) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-08-17 |