| NPI | 1902911589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101022528) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: VA 0101022528) |
| 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101022528) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: VA 0101022528) | |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: VA 0101022528) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: VA 0101022528) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |