| NPI | 1356317366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: DE C10005966) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: DE C10005966) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2011-12-14 |