NPI | 1497783070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA G64016) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: CA G64016) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2018-03-30 |