NPI | 1275631988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: OH 35.088230) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35088230) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-06-18 |