| NPI | 1497071252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX Q2769) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX Q2769) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2020-10-09 |