| NPI | 1427085927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA G50776) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G50776) |
| 207X00000X Orthopaedic Surgery (Licence: CA G50776) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-11-07 |