| NPI | 1336323740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 132072) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101250061) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME108881) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 067569) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2024-02-26 |