| NPI | 1316333537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0102208649) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS17639) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-08-22 |