| NPI | 1366544843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2018-02770) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 1135) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2022-09-22 |