| NPI | 1386874436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 7809) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0053409) |
| 207X00000X Orthopaedic Surgery (Licence: NY 296909) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-04-11 |