| NPI | 1518930437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 042622) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 25383) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2019-10-24 |