| NPI | 1184882771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MI 4301111460) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT193493) |
| 207X00000X Orthopaedic Surgery (Licence: DE C1-0010954) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2018-10-11 |