| NPI | 1356752810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 20635) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT206251) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2023-12-05 |