| NPI | 1740799337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0071081) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 71864) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2017023436) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MN 71864) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MN 71864) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-06-08 |