| NPI | 1891971610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: GA 61510) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 000676) |
| 207X00000X Orthopaedic Surgery (Licence: NC 2009-00216) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-02-09 |