| NPI | 1225009707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 30819) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 30819) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-02-28 |