| NPI | 1427200716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 263838) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NH 14190) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NY 263838) | |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2023-07-06 |