| NPI | 1205094901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101017675) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 5101017675) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 5101017675) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2019-04-23 |