| NPI | 1376652479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME78272) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me78272) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-09-02 |