| NPI | 1285015834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 75519-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301107658) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125.075415) | |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2021-12-06 |