| NPI | 1629219316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL OS10192) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS 10192) |
| 207X00000X Orthopaedic Surgery (Licence: CO 47451) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2024-04-04 |