NPI | 1306858295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: TX H7591) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX H7591) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2012-04-02 |