| NPI | 1366543910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME58528) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VT 042-0016977-COMP) |
| 207X00000X Orthopaedic Surgery (Licence: LA MD.14933R) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036-121364) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-06-21 |