| NPI | 1467410514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA G85790) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G85790) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G85790) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-01-04 |