| NPI | 1285799148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C10003121) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C10003121) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-11-16 |