| NPI | 1831150655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 22856) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK BB7225988) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-03-18 |