| NPI | 1417198318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MD d95701) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036.131065) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: DC MD037127) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2023-09-28 |