| NPI | 1235660010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.150498) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD479827) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD61260337) | |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA11718400) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD61260337) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-04-17 |