| NPI | 1215686274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ACN1743) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL HSE34335) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2026-07-10 |