NPI | 1982751004 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: CA G31166) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G31166) |
208600000X Surgery (Licence: CA G31166) | |
2086S0102X Surgery, Surgical Critical Care (Licence: CA G31166) | |
2086S0120X Surgery, Pediatric Surgery (Licence: CA g31166) | |
Enumeration Date | 2007-01-03 |
Last Update Date | 2024-04-29 |