| NPI | 1487700738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA G48452) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G48452) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-04-27 |