| NPI | 1861931818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MI 5101027213) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: FL OS23745) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2026-05-22 |