| NPI | 1992842132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME140596) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 49647) |
| 207X00000X Orthopaedic Surgery (Licence: IL 036118925) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-05-31 |