| NPI | 1316300486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 4301506364) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301506364) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2022-09-02 |