| NPI | 1841446382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IA DO-04372) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 510017832) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2026-03-31 |