| NPI | 1346276524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 8727) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 290117) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-05-09 |