| NPI | 1760574552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C10004167) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C10004167) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: PA MD054069L) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL ME130481) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2017-03-15 |