| NPI | 1013654219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO SA.0002236) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO SA.0002236) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2024-07-02 |