NPI | 1538336367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX P3391) |
Additional Taxonomies | 208600000X Surgery (Licence: TX p3391) |
Enumeration Date | 2008-05-12 |
Last Update Date | 2024-09-03 |