| NPI | 1346532124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036166149) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 303824) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2023-09-27 |