| NPI | 1770783086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME102864) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME102864) |
| 207X00000X Orthopaedic Surgery (Licence: KY 26697) | |
| 207X00000X Orthopaedic Surgery (Licence: TN 27540) | |
| 207X00000X Orthopaedic Surgery (Licence: OK 32017) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01075699B) | |
| 207X00000X Orthopaedic Surgery (Licence: GA 048374) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-03-13 |