| NPI | 1861431561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD d0048127) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 19766) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-05-17 |