| NPI | 1033182050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2007019176) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS016905) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-08-27 |