| NPI | 1275828436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 265816) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AK 120834) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2025-01-21 |