| NPI | 1922040179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 33149) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 33149) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: AZ 33149) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 33149) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-03-04 |