NPI | 1558333476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NJ 25MA07387400) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ MA07387400) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2019-09-06 |