| NPI | 1467406215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101024861) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS6763) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-02-26 |