| NPI | 1487844650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: LA MD.201862) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 103060) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: IL 036136684) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2022-12-19 |