| NPI | 1497899223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.092925) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC RTL122207) |
| 207X00000X Orthopaedic Surgery (Licence: OH 35.092925) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-11-09 |