| NPI | 1558586073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301084641) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN 45006) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD45006) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-04-25 |