| NPI | 1437610185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OR MD229093) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: OR MD229093) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-08-07 |