| NPI | 1932170057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ND 9038) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 41071) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-10-27 |