NPI | 1598701930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME123787) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A50293) |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A50293) | |
207X00000X Orthopaedic Surgery (Licence: MI 4301088730) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2017-03-28 |