| NPI | 1407835341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA 28680) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD-28680) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2022-07-21 |