NPI | 1225298870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA 112133) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A112133) |
Enumeration Date | 2008-06-16 |
Last Update Date | 2022-03-18 |