| NPI | 1326099698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: AZ 005334) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 005334) |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: AZ 005334) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AZ 005334) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: AZ 005334) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: AZ 005334) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-02-10 |