| NPI | 1992068290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TN 62643) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A146706) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 201801351) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-03-18 |