| NPI | 1285995100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI MD16294) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA 253099) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2018-06-26 |