| NPI | 1043282528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL os13435) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS014684) |
| 207X00000X Orthopaedic Surgery (Licence: OH 58.001446) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2021-03-24 |