| NPI | 1831169374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO CO30129) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OR DO214253) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2023-07-26 |