| NPI | 1154387942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DOUGLAS JACOB General Surgeon 412-364-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD042446L) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2022-09-23 |