| NPI | 1013237080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q7037) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q7037) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX Q7037) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2016-07-26 |