| NPI | 1699966044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 060583) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: AL DO.955) |
| 207X00000X Orthopaedic Surgery (Licence: MI 5101015714) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-11-20 |