| NPI | 1578881470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX R3034) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX R3034) |
| 207X00000X Orthopaedic Surgery (Licence: TX BP2-0041888) | |
| 208600000X Surgery (Licence: TX BP1 0036956) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2023-08-01 |