| NPI | 1124127865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IA 37345) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 48992) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IA 37345) | |
| 207X00000X Orthopaedic Surgery (Licence: IA 37345) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-03-24 |