NPI | 1972696417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD043521E) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD043521Ep) |
2086H0002X Surgery, Hospice and Palliative Medicine (Licence: PA MD043521E) | |
Enumeration Date | 2006-10-02 |
Last Update Date | 2015-12-07 |