| NPI | 1528220522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: UT 13825784-1204) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017617) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-05-23 |