| NPI | 1518938380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2006-01940) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC 27820) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-11-09 |