| NPI | 1235200411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WV 27568) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD427938) |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD427938) | |
| 208600000X Surgery (Licence: PA MD427938) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2023-03-21 |