| NPI | 1437599388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OR MD192287) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD61119730) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2026-03-23 |