| NPI | 1841380474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 44909) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A99663) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-08-13 |