| NPI | 1326272584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM 2012-0566) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: NM 2012-0566) |
| Enumeration Date | 2009-05-03 |
| Last Update Date | 2023-11-29 |