| NPI | 1770214892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NE 9402) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 13333) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-08-01 |