NPI | 1568598332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: OH 35.098045) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.098045) |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.098045) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2023-01-11 |