| NPI | 1124314612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 998-320) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.35098) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-08-02 |