| NPI | 1447489430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MN 61276) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ R71546) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2020-08-27 |