| NPI | 1043461445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL L.5105SP) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL L5105F) |
| 207X00000X Orthopaedic Surgery (Licence: AL L4576F) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2024-03-12 |