| NPI | 1114155074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 9349002-1205) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 18526) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-11-27 |