| NPI | 1932357878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: PA MD447144) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD447144) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2024-06-06 |