| NPI | 1881128379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 73980) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO DR.0067714) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-09-13 |