| NPI | 1700808045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 01029263A) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NY 240390) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036121829) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: MO 2014039525) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2015-07-10 |