| NPI | 1952538316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0064461) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WI 66076) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2022-10-13 |