| NPI | 1205332541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 68886) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 33844) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-07-18 |