| NPI | 1972093250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MI 4301511411) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 4301511411) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MO 2023009747) | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2025-02-07 |