| NPI | 1437770575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 79448) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 38149) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2026-05-22 |