| NPI | 1437418811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 179521) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 18169) |
| 207X00000X Orthopaedic Surgery (Licence: NY 63175) | |
| Enumeration Date | 2012-05-06 |
| Last Update Date | 2023-11-27 |