NPI | 1952501926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0052850) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0052850) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2018-11-17 |