| NPI | 1578854956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: VA 0101262320) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 0101262320) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2023-03-20 |