NPI | 1639333107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C1-0009837) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DC 530196961) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C7-0004483) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2022-02-10 |