| NPI | 1487844585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AR E-7431) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM RS2011-0385) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-05-19 |