NPI | 1669775300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NJ 36786) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 36786) |
Enumeration Date | 2010-12-20 |
Last Update Date | 2010-12-20 |