| NPI | 1861574329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MB09222800) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD H0063165) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DE C2-0008301) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 235063) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2021-04-26 |