| NPI | 1366515033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 24049) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AL 00024049) |
| 207X00000X Orthopaedic Surgery (Licence: AL 00024049) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AL 00024049) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AL 24049) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AL 24049) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2011-12-29 |