| NPI | 1396276564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma (Licence: MO 2023017524) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO 2023017524) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-08-04 |