| NPI | 1558522441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 071970) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME114990) |
| 207X00000X Orthopaedic Surgery (Licence: SC LL31025) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-12-03 |