| NPI | 1720046790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 31287-20) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 31287) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-11-16 |