| NPI | 1528562857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0076503) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI MD19085) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2026-06-08 |