NPI | 1326209735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: UT 9203042-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A112687) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2021-11-08 |