| NPI | 1275858102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101284037) |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 60800) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: IL 036161000) | |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2026-03-16 |