| NPI | 1124288337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 14072) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 236829) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-11-12 |