| NPI | 1851529770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 53227) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 15196) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 15196) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2021-11-15 |