| NPI | 1386834570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV 17923) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 14778) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-03-03 |