| NPI | 1124062104 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MD D0025078) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0025078) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0025078) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MD D0025078) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-11-09 |