| NPI | 1063707313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 82933) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: IA MD48330) |
| 207X00000X Orthopaedic Surgery (Licence: CA A160646) | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01077097A) | |
| 207X00000X Orthopaedic Surgery (Licence: WA 60696918) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2024-08-27 |