NPI | 1528061348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 200001509) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 200001509) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2014-11-22 |