| NPI | 1831519909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS15191) |
| Additional Taxonomies | 208D00000X General Practice (Licence: OR 167906) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2024-10-04 |