| NPI | 1033472022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: CA A154346) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery (Licence: NY 286945) |
| 207X00000X Orthopaedic Surgery (Licence: IL 125061152) | |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2018-10-02 |