| NPI | 1750362927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0102205078) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 048956) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-04-17 |