| NPI | 1366403958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 17638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 028156) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-09-25 |