| NPI | 1427130160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.063349) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 29982) |
| 208600000X Surgery (Licence: NV 12275) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: AL 31758) | |
| 208600000X Surgery (Licence: WV 29982) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: WV 29982) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NV 12275) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-01-11 |