NPI | 1033279690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MD427503) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT181572) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2013-04-11 |