| NPI | 1235193665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 74466) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD426719) |
| 207X00000X Orthopaedic Surgery (Licence: IA MD-43689) | |
| 207X00000X Orthopaedic Surgery (Licence: WI 49365-20) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MN 74466) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-03-29 |