| NPI | 1588811244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 1735-321) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA OS013810) |
| 207X00000X Orthopaedic Surgery (Licence: PA OT011238) | |
| 207X00000X Orthopaedic Surgery (Licence: AZ 005533) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2022-09-20 |