| NPI | 1447787627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.149019) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 71114) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 71114) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2023-09-07 |