| NPI | 1083794036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G84888) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 52167) |
| 204F00000X Transplant Surgery (Licence: CA G84888) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01081810A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: CA G84888) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.065006) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-12-15 |