| NPI | 1619499449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 4301502111) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301112375) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-10-20 |