| NPI | 1306842489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT MED-PHYS-LIC-34007) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-9236) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2024-11-12 |