| NPI | 1831234798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AK 7638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA 35328) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-11-13 |