| NPI | 1164446241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME97181) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 16459) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2021-07-14 |