| NPI | 1205126034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2018-01724) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NC 2018-01724) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2023-05-04 |