| NPI | 1124182068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 21598) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 48834) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WI 21598) | |
| 207X00000X Orthopaedic Surgery (Licence: ND PT12136) | |
| 207X00000X Orthopaedic Surgery (Licence: MI 4301099576) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2015-12-17 |