| NPI | 1487065603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2021-02494) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD UMP) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2021-11-09 |