| NPI | 1003850496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 37601) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 071483) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2024-05-06 |