| NPI | 1750301453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD060038L) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: PA MD060038L) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD060038L) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD060038L) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-07-28 |