| NPI | 1316960180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS010418L) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: CA 20A9618) |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: PA OS0010418L) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-07-30 |