| NPI | 1447419247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D76327) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249607) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 249607) | |
| 207P00000X Emergency Medicine (Licence: MD D76327) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-06-12 |