| NPI | 1225411242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0066034) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI AM2763399-153) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2022-09-06 |