| NPI | 1083754923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2018-01248) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 85141) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-12-17 |