NPI | 1225040561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME91993) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: DE C100) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2018-03-17 |