| NPI | 1073730685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MT MED-PHYS-LIC-49510) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NM MD20130304) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-02-22 |