| NPI | 1396030417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101252342) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101252342) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-10-20 |