| NPI | 1235185448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA 15156R) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 227825) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-05-27 |