| NPI | 1538281035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 103723) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101016040) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036123723) | |
| 207X00000X Orthopaedic Surgery (Licence: OH 34.008112) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-02-11 |