NPI | 1598147050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA A145817) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A145817) |
208600000X Surgery (Licence: CA A145817) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2024-07-18 |