| NPI | 1942260021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301404242) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301404242) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-01-18 |