NPI | 1730165366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: ID M10261) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 9901473) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2014-02-18 |