| NPI | 1982683769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 10548) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 156338) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-12-06 |