| NPI | 1730409491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD454830) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD454830) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2020-08-31 |