| NPI | 1326135476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0034591) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CO DR.0034591) |
| 207X00000X Orthopaedic Surgery (Licence: CO 34591) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2026-05-04 |