| NPI | 1831349679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME133829) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME133829) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01066338A) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.122356) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IN 01066338A) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-10-27 |