| NPI | 1265895833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 36653) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 88141) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AL 36653) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-01-09 |