| NPI | 1720020639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SC 30693) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2005010201) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MO 2005010201) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-06-04 |