| NPI | 1386787984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NV 12073) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 12073) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 12073) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-08-04 |