| NPI | 1306055116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: AL 32403) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01076720A) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME132765) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2024-04-25 |