NPI | 1386755379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OR MD21481) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR OR MD21481) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-09-11 |