| NPI | 1033378963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: PA OS016409) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 66959) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2025-05-22 |