NPI | 1740472398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: FL ME99466) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME99466) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2024-03-14 |