NPI | 1538147145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A110729) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A110729) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2024-02-14 |