| NPI | 1376957134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101025380) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AZ 007833) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-06-11 |