| NPI | 1942629688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: AK 211451) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 21334) |
| 207X00000X Orthopaedic Surgery (Licence: WA MD60941394) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WA 1942629688) | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NV 21334) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-11-13 |