| NPI | 1386130383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL OS20997) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101024348) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-09-09 |