| NPI | 1134126378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 51947) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AL MD.33949) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SC MD33835) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 41395) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME 123554) | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2026-07-17 |