| NPI | 1477073724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS022752) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OT017573) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-10-23 |