| NPI | 1447450424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS11281) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS014015) |
| 207X00000X Orthopaedic Surgery (Licence: PA OT011278) | |
| 207X00000X Orthopaedic Surgery (Licence: MD H70338) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2021-11-27 |