| NPI | 1104885748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD428731) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD428731) |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD428731) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: PA MD428731) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD428731) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2016-07-21 |