| NPI | 1720281330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2017043630) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 76704) |
| 207X00000X Orthopaedic Surgery (Licence: OK 4402) | |
| 207X00000X Orthopaedic Surgery (Licence: NV DO1632) | |
| 207X00000X Orthopaedic Surgery (Licence: FL OS11124) | |
| 207X00000X Orthopaedic Surgery (Licence: CA 20A11979) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: MO 2017043630) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NV DO1632) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 20A11979) | |
| Enumeration Date | 2007-06-10 |
| Last Update Date | 2023-02-23 |