| NPI | 1497382352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0070664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0070664) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-03-25 |