| NPI | 1891280087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 24361) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301116131) |
| 207X00000X Orthopaedic Surgery (Licence: MI 4351043684) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-08-22 |