| NPI | 1568951705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0102206551) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 011685) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-10-22 |