| NPI | 1285892067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD424768) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 11013773A) |
| 208600000X Surgery (Licence: MI 4301099765) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MI 4301099765) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-06-17 |