| NPI | 1275522740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 00023812) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.23812) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-04-05 |