| NPI | 1386847226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 46262) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VT 042-0011979) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: AZ 46262) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-05-02 |