| NPI | 1316280647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: WY 14785A) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WY 14785A) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2025-01-10 |