| NPI | 1568686871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A115975) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A115975) |
| 207X00000X Orthopaedic Surgery (Licence: CO 44582) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX P3817) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-04-29 |