| NPI | 1730365131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SC 31854) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 000897) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-11-06 |