| NPI | 1457857138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NV DO3458) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101024089) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-09-06 |