| NPI | 1306002431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101257741) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2014008614) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101042429) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-12-10 |