| NPI | 1881125979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: SC 93024) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0097836) |
| 207X00000X Orthopaedic Surgery (Licence: MD D0097836) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-08-05 |