| NPI | 1013173004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: VA 0101257854) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101257854) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DC MD043693) | |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2020-04-16 |