| NPI | 1275856445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA10943000) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD039840) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NJ 25MA10943000) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: DC MD039840) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2020-10-16 |