| NPI | 1316176134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: KY 49092) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 036.135758) |
| 207X00000X Orthopaedic Surgery (Licence: MS T-2180) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 201500608) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2023-10-25 |