NPI | 1245320852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 41801) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 41801) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-02-10 |