| NPI | 1396913729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD2013-0461) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 81993) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2021-09-07 |