| NPI | 1447282108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 48916) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT CT31547) |
| 207X00000X Orthopaedic Surgery (Licence: CO dr50195) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-12-07 |