| NPI | 1437681566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 1019777) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D97730) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-05-29 |