| NPI | 1801950563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL TRN7956) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 18159) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-05-16 |