| NPI | 1003825753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 16775) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 6597691-1205) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-10-28 |