NPI | 1881673911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0056969) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA G63381) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2024-11-15 |