NPI | 1851341259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: SC 25533) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 25533) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-12-20 |