| NPI | 1407685621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CO DR.0074162) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0074162) |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: CO DR.0074162) | |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2024-09-18 |