| NPI | 1033344171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA OS021275) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101018133) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2024-01-22 |