NPI | 1992897789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: DE C10003055) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: DE C10003055) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2011-09-24 |