| NPI | 1184696742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101248602) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD d0055198) |
| 207X00000X Orthopaedic Surgery (Licence: FL me103050) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 2008-1028) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 41235) | |
| 207X00000X Orthopaedic Surgery (Licence: DE C1-0009319) | |
| 207X00000X Orthopaedic Surgery (Licence: NV 13487) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-04-22 |