| NPI | 1962994731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MD D0097220) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301115539) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: VA 0101278426) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-10-22 |