| NPI | 1013995711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: FL ME161089) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA A91695) |
| 207X00000X Orthopaedic Surgery (Licence: IN 01061668A) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2023-06-21 |