| NPI | 1083249346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD21383) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 38148) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2026-05-20 |