| NPI | 1346680709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 26435) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101264334) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2019-06-19 |