| NPI | 1952569022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: DE C10008773) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: IN 11013177A) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IN 11013177A) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: PA MD435223) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2011-12-14 |