| NPI | 1184987117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101262224) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SC LL34679) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2020-09-16 |