| NPI | 1487283495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: VA 0101289042) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MS 34777) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-08-27 |