| NPI | 1740741537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL TRN28623) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 105444) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-07-30 |