| NPI | 1932633799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: OR MD214913) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A175753) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-09-06 |