| NPI | 1336375849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301106918) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MA L-240021) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2026-04-16 |