| NPI | 1134123896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MD D59938) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D59938) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MD D59938) | |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MD D59938) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MD D59938) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MD D59938) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2015-07-21 |