NPI | 1457388365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD049369L) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD049369L) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2019-10-31 |