| NPI | 1144290958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 46517) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: MN 46517) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: MN 45617) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: MN 46517) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MN 46517) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MN 46517) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |