| NPI | 1275160087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301511045) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4351047707) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-07-09 |