| NPI | 1043204704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 65356) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID MC-2827) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35-059085) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SC 83008) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2024-04-29 |