| NPI | 1033439740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0054997) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC MMD.32572LL) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2021-03-08 |