| NPI | 1215373196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-16806) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-42376) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2024-01-09 |