NPI | 1114127685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA C151265) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C151265) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2020-03-12 |