| NPI | 1316048937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 42688-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SD 11638) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-05-14 |