| NPI | 1669932513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: HI MD21363) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WV 36052) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-12-08 |