| NPI | 1821091539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 2218-320) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: KY 33915) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036.162271) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01049271A) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-02-20 |