| NPI | 1326448770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP61233584) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD H91434) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-03-29 |