| NPI | 1528217627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: LA DO.000401) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: LA 000401) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2025-09-04 |