| NPI | 1831113133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 14053) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR MD14053) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-12-14 |