| NPI | 1548431059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD434409) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD434409) |
| 208600000X Surgery (Licence: CT 046000) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CT 046000) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CT 046000) | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2015-12-04 |