| NPI | 1821053562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS009484) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS9484) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-06-17 |