| NPI | 1033537899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME163045) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME163045) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2023-06-30 |