| NPI | 1225482060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101274402) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0094473) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0070386) | |
| 207X00000X Orthopaedic Surgery (Licence: NC 217892) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-09-13 |