NPI | 1346252269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AZ 34023) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 34023) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 34023) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2014-02-10 |