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 |