| NPI | 1336150218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA G83734) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA G83734) |
| 207X00000X Orthopaedic Surgery (Licence: CA G83734) | |
| 2080S0010X Pediatrics, Sports Medicine (Licence: ID M-7583) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2024-04-27 |