| NPI | 1932101466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS19000) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 03133) |
| 207X00000X Orthopaedic Surgery (Licence: IA 03133) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2024-03-17 |