| NPI | 1336183565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2022-1534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KS 04-49234) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-05-07 |