| NPI | 1316020225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301095496) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA GA 055543) |
| 207X00000X Orthopaedic Surgery (Licence: MN 51031) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 103873) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-04-20 |