| NPI | 1477517233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: FL ME49020) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me49020) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-09-29 |