| NPI | 1497723399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 22809) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL 22809) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-07-16 |