| NPI | 1275589434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 16330) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2018-01334) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-02-04 |