| NPI | 1447780689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2022-00534) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 271085) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-06-22 |