| NPI | 1538361076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 2021-00324) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2021-00324) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-12-18 |