| NPI | 1699874651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00046812) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD26526) |
| 207X00000X Orthopaedic Surgery (Licence: KS 04-31349) | |
| 207X00000X Orthopaedic Surgery (Licence: TX L8944) | |
| 207X00000X Orthopaedic Surgery (Licence: OK 21741) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-02-13 |