NPI | 1568461812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NV 11242) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 11242) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2015-08-04 |