| NPI | 1063484814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MO 2022010850) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-45740) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2022010850) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036-148203) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: KS 04-45740) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036-148203) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-04-29 |