| NPI | 1407296486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL OS16242) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 273804) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MA 273804) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2020-10-13 |