| NPI | 1659580603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME139915) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301088628) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01059962) | |
| 207X00000X Orthopaedic Surgery (Licence: WI 67408) | |
| 207X00000X Orthopaedic Surgery (Licence: WV 23161) | |
| 207X00000X Orthopaedic Surgery (Licence: MN 60598) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 60598) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-10-06 |