| NPI | 1245377837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301061034) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 061034) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-02-05 |