| NPI | 1437576410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 76943) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR 167652) |
| 207X00000X Orthopaedic Surgery (Licence: AL 1537) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2026-07-29 |