| NPI | 1881856110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 83934) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 25385) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: FL ME 114896) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX Q0735) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-04-24 |