| NPI | 1881031722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OH 35.139430) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0061852) |
| 207X00000X Orthopaedic Surgery (Licence: MD D85533) | |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2022-03-07 |