| NPI | 1295990471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 005825) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 246319) |
| 207X00000X Orthopaedic Surgery (Licence: AZ 005825) | |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2020-08-18 |