| 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 |