| NPI | 1700045317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301082076) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IL 125-051953) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX N3165) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IN 01095101A) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WA MD60004075) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-10-31 |