| NPI | 1992983159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: LA MD203097) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: LA pgy.1.lsuno-ort) |
| 207X00000X Orthopaedic Surgery (Licence: FL ME112558) | |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2015-10-22 |