| 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 |