| NPI | 1033647102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301508551) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301112619) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-08-17 |