| NPI | 1407905318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101042704) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL ME75845) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2023-04-18 |