| NPI | 1841227774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MA08592500) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD063973L) |
| 208600000X Surgery (Licence: NJ 25MA08592500) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA08592500) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-11-19 |