| NPI | 1114345170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TN 61431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 0000061431) |
| Enumeration Date | 2014-04-06 |
| Last Update Date | 2024-01-17 |