NPI | 1144249541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 199329) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 199329) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2021-04-26 |