| NPI | 1538190483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 21719-020) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: WI 21719-020) |
| 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WI 21719-020) | |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: WI 21719-020) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: WI 21719-020) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: WI 21719-020) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WI 21719-020) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-02-10 |