| NPI | 1598977837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 265809) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA mt188222) |
| 207X00000X Orthopaedic Surgery (Licence: CA A115712) | |
| 207X00000X Orthopaedic Surgery (Licence: PA md435754) | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-02-14 |