| NPI | 1538659818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 77051) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 95906) |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2024-06-18 |