| NPI | 1447234588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2007-00029) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2007-00029) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-07-15 |