| NPI | 1427119189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2005-01076) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NC 2005-01076) |
| 207X00000X Orthopaedic Surgery (Licence: TX M5233) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-01-20 |