| NPI | 1922003409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 108905) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101050433) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01066057A) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036116736) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2016-05-26 |