| NPI | 1447454806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D68652) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D68652) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA11634300) | |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2024-05-03 |