| NPI | 1275686263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101240437) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101240473) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2024-08-20 |