| NPI | 1285714402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO 45239) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA AFE69459) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: CO DR.0045239) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-02-03 |