| NPI | 1144707266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA 233328) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PR 24456) |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2025-08-10 |