| NPI | 1861478323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SC 22538) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 22538) |
| 207X00000X Orthopaedic Surgery (Licence: NC 200500665) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 200500665) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2024-06-13 |