| NPI | 1245473537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: AZ 006432) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 006432) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 006432) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2018-09-13 |