| NPI | 1821599036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AZ 011138) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: RI DO01240) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2024-08-06 |