| NPI | 1558685198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD60375304) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 1564) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2024-04-05 |