| NPI | 1487051892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0068109) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NH 21568) |
| 207X00000X Orthopaedic Surgery (Licence: MN 62608) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-08-31 |