NPI | 1952626350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: MA 266960) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 266960) |
Enumeration Date | 2010-03-30 |
Last Update Date | 2020-04-22 |