| NPI | 1942314620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WV 16852) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D53001) |
| 207X00000X Orthopaedic Surgery (Licence: WV 16852) | |
| 207X00000X Orthopaedic Surgery (Licence: PA MD066898L) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 200400986) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D53001) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 200400986) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2021-09-15 |