| NPI | 1952389082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD435739) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10691900) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NH 19950) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NJ 25MA10691900) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2024-04-11 |