| NPI | 1417044561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0020435) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 20435) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2018-11-17 |