| NPI | 1205074424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL os 10553) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL os10553) |
| 207X00000X Orthopaedic Surgery (Licence: MO 2010006464) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2023-10-04 |