| NPI | 1598727893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA10693100) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD426717) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-10-24 |