| NPI | 1437117835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AZ 46045) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: VA 0101248481) |
| 207X00000X Orthopaedic Surgery (Licence: VA 0101248481) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101248481) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: VA 0101248481) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-02-12 |