| NPI | 1942601950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: SC 37481) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL37481) |
| 207X00000X Orthopaedic Surgery (Licence: SC 37481) | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-08-30 |