| NPI | 1134386576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: CA A105899) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 106870) |
| 207X00000X Orthopaedic Surgery (Licence: MN 56793) | |
| 207X00000X Orthopaedic Surgery (Licence: CA A105899) | |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-04-23 |