| NPI | 1346702644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 77475) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: UT 11901352-1205) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-06-30 |