| NPI | 1053393595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 049310) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA GA049310) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2023-05-22 |