| NPI | 1679515340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX J3358) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: TX J3358) |
| 207X00000X Orthopaedic Surgery (Licence: TX J3358) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-07-25 |