| NPI | 1225577539 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0068357) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101265470) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-05-09 |