NPI | 1396030680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CA A156721) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 288700) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q8402) | |
Enumeration Date | 2011-06-14 |
Last Update Date | 2021-12-21 |