| NPI | 1265671093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OK 6087) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017993) |
| 207X00000X Orthopaedic Surgery (Licence: PA OS016330) | |
| 207X00000X Orthopaedic Surgery (Licence: TX Q1396) | |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2017-02-02 |