| NPI | 1043498553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2011-00806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 5764688-1205) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-07-03 |