| NPI | 1245465863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL 132498) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 27042) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL 132498) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2018-03-17 |