NPI | 1841723616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD490634) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD490634) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2025-07-01 |