NPI | 1407177652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2024-00732) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 4239) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2024-07-18 |