| NPI | 1922590702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101281933) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10064496) |
| 207X00000X Orthopaedic Surgery (Licence: KY 58276) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-06-17 |