NPI | 1407018369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A126224) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A126224) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2024-04-23 |