| NPI | 1497913743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MI 5101017312) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017312) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MD D0073769) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-05-06 |