| NPI | 1457513202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MS 23455) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 32296) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2022-10-12 |