| NPI | 1780890277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 52451-020) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301083701) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-05-11 |