| NPI | 1619141496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: MA 262562) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO DR.0054000) |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036.133639) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2023-12-04 |