NPI | 1730176678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MO 2022040078) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MD434500) |
207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NY 200545) | |
Enumeration Date | 2005-10-05 |
Last Update Date | 2022-11-02 |