| NPI | 1831623271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NV 23244) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 23244) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-08-04 |