| NPI | 1427438365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 62881) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301107826) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-07-18 |