| NPI | 1851540199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CA A119979) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A119979) |
| 207X00000X Orthopaedic Surgery (Licence: TX P2533) | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX P2533) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2023-05-25 |