| NPI | 1659465987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CO DR.0025905) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CO 25905) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-11-17 |