| NPI | 1093942823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI 14915) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-241036) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2019-02-11 |