| NPI | 1033671359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: OH 35.154101) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 48699) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-07-09 |