| NPI | 1710051552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: CO DR.0049016) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 49016) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-11-17 |