| 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 |