| NPI | 1710474952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CO DR.0070122) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VA 1710474952) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-07-16 |