| NPI | 1598852600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 75226) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TN MD36107) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 75226) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN MD36107) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-02-19 |