NPI | 1043399629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX J8483) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J8483) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2025-08-18 |