| NPI | 1023080942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2025-00389) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME107945) |
| 208600000X Surgery (Licence: IN 01088151A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01088151A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AL MD.44572) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AZ 41418) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME107945) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-05-21 |