| NPI | 1922050400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: FL ME122977) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: GA 75287) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01059920A) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 58653) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-05-22 |