| NPI | 1316169253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101243340) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TN 41942) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-09-17 |