| NPI | 1083805006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 201101058) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 201101058) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-12-12 |