NPI | 1124222617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IA 44695) |
Additional Taxonomies | 208600000X Surgery (Licence: IA 44695) |
2086S0120X Surgery, Pediatric Surgery (Licence: IN 01094724A) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2025-08-13 |