| NPI | 1720596653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 010282) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0071927) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-04-12 |