NPI | 1952795577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: AL MD.42771) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2015-03-20 |
Last Update Date | 2021-07-14 |