| NPI | 1740571777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 57751) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 226041) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2023-11-27 |