NPI | 1366583213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 201002101) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2010-02101) |
207X00000X Orthopaedic Surgery (Licence: NC 201002101) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2022-02-08 |