| NPI | 1841257136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 049468) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL MD.28824) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-11-20 |