| NPI | 1043294598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 94-01088) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 94-01088) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2010-05-12 |