| NPI | 1447684287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AS 2107C) |
| Additional Taxonomies | 208600000X Surgery (Licence: AS 2014c) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-02-20 |