| NPI | 1568818490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 5101024648) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101022202) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101024648) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2023-05-31 |