| NPI | 1043891161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101026938) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS23608) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2026-06-25 |