| NPI | 1841497625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101264853) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 2008-01405) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-06-09 |