| NPI | 1457589137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2022-01963) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM 2015-0629) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2025-02-07 |