| NPI | 1689992745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2016-01603) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2015005961) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2016-01603) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2022-02-24 |