| NPI | 1477623734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD045027L) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M9611) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA MD045027L) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0083697) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-05-25 |