| NPI | 1487728994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301035204) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301035204) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-09-11 |