| NPI | 1306924626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E4718) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E4718) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-11-14 |