| 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 |