NPI | 1447200647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD066014L) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD066014L) |
2086S0127X Surgery, Trauma Surgery (Licence: PA MD066014L) | |
Enumeration Date | 2006-05-11 |
Last Update Date | 2020-10-06 |