| NPI | 1205866860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD066657L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD066657L) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2026-05-26 |