| 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 |