| NPI | 1083106884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX U7540) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX BP10064497) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-02-13 |