| NPI | 1124587910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO DR.0075066) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 1124587910) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-05-30 |