| NPI | 1922107911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WV 3019) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 38203) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-10-02 |