| NPI | 1578857850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 290463) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA09903600) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 290463) | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2023-05-04 |