| NPI | 1851550057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX Q8952) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q8952) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: TN 50691) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: OK 37335) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-07-21 |