| NPI | 1992963227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OH 35.143222) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101266559) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-09-11 |