NPI | 1619971223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD061876L) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD061876L) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2023-10-12 |