| NPI | 1750350237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 062037) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI SF068421) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-02-26 |