| NPI | 1740407626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: RI LP00163) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MD D0070978) |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: MD D0070978) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-08-23 |