| NPI | 1700045317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301082076) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: TX N3165) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125-051953) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-09-12 |