| NPI | 1720146640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 54130) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: WI 54130) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2023-11-30 |