| NPI | 1316931702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 59429) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA C153955) |
| 207X00000X Orthopaedic Surgery (Licence: ND 7631) | |
| 207X00000X Orthopaedic Surgery (Licence: NE 23059) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2019-11-26 |