| NPI | 1932493228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MA 266204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MD460989) |
| 207X00000X Orthopaedic Surgery (Licence: MA 248867) | |
| 207X00000X Orthopaedic Surgery (Licence: MA 266204) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2020-09-22 |