| NPI | 1134512593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MT 98833) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0070117) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2023-01-06 |