| NPI | 1831154723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 73557) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD36474) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME139069) | |
| 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: GA 73557) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-09-11 |