| NPI | 1851307854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD037323E) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD037323E) |
| 208600000X Surgery (Licence: IL 036-099223) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-11-09 |