| NPI | 1215107636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 4301102440) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 57-013331) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A119772) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-02-24 |