| NPI | 1215385232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 13638) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101022839) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2022-07-29 |