NPI | 1609842343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 182640) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 182640) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-12-04 |