| NPI | 1508390410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX U7284) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX U7284) |
| 207X00000X Orthopaedic Surgery (Licence: OR MD222319) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A181459) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-10-30 |