| NPI | 1427766336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD61285136) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: WA MD61285136) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-08-11 |