| NPI | 1093782443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA DO.000118) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS 9659) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2023-08-25 |