| NPI | 1467444927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: KY 37334) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 27369) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2024-05-02 |