| NPI | 1366762585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: SC 39937) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 39937) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2024-06-13 |