| NPI | 1851739544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MA 273719) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 255706) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-10-28 |