| NPI | 1558521211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 75107) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: WI 53524-021) |
| 207X00000X Orthopaedic Surgery (Licence: WI 53524021) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2024-09-19 |