| NPI | 1023273604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: CA A98261) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A98261) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-05-07 |