| NPI | 1750541942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 68888-21) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS12697) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101017624) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2024-03-27 |