| NPI | 1740628072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 9023) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2020-02428) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2025-11-03 |