| NPI | 1790700797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 35898) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G83434) |
| 207X00000X Orthopaedic Surgery (Licence: SC 92991) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 35898) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA G83434) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-08-08 |