| NPI | 1437270691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 054505) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.33867) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-11-20 |