NPI | 1598818437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MS 20342) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: MD D0062695) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2013-09-16 |