| NPI | 1326282427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101273343) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: ID M-12514) |
| 207X00000X Orthopaedic Surgery (Licence: MS 23990) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2022-06-24 |