| NPI | 1346307964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 95058) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME79356) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-06-11 |